Mrs. Kathy L Back, MA, LPC
Counselor, Mental Health in Salem, Oregon
1427351287- Practice location
- 2645 Portland RD NE, Suite 120, Salem, OR 97301-0198
- Phone
- 503-798-3180
- Fax
- —
- Last updated
- January 24, 2012
Mrs. Kathy L Back, MA, LPC is a Counselor, Mental Health based in Salem, OR. Mrs. Kathy L Back, MA, LPC holds the professional credentials of MA, LPC. The NPI number for Mrs. Kathy L Back, MA, LPC is 1427351287 and holds license No. C2766 (OR). The current practice location address is 2645 Portland RD NE, Suite 120, Salem, OR 97301-0198 and the office can be reached by phone at 503-798-3180. The NPI was assigned on December 15, 2010 and the record was last updated in NPPES on January 24, 2012.
●Provider Profile Details
- NPI Number
- 1427351287
- Provider Name
- Kathy L. Back
- Credential
- MA, LPC
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Enumeration Date
- December 15, 2010
- Last Update Date
- January 24, 2012
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2645 Portland RD NE
Suite 120
Salem, OR 97301-0198 - City
- Salem
- State
- Oregon
- ZIP
- 97301-0198
- Country
- US
- Phone Number
- 503-798-3180
✉Business Mailing Address
- Address
- 2735 Enchanted View Ln SE
Turner, OR 97392-9586 - City
- Turner
- State
- OR
- ZIP
- 97392-9586
- Phone Number
- 503-991-2176
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Mental Health | 101YM0800X | Yes | C2766 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Salem →?Frequently Asked Questions
What is the NPI number of Mrs. Kathy L Back, MA, LPC?
The NPI number of Mrs. Kathy L Back, MA, LPC is 1427351287. It was assigned on December 15, 2010 and is currently active in the NPPES registry.
What is the specialty of Mrs. Kathy L Back, MA, LPC?
Mrs. Kathy L Back, MA, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X) and holds license No. C2766 (OR).
Where does Mrs. Kathy L Back, MA, LPC practice?
The practice location is 2645 Portland RD NE, Suite 120, Salem, OR 97301-0198. The office can be reached at 503-798-3180 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427351287 directly on the NPPES registry website at npiregistry.cms.hhs.gov.